Loading...
HomeMy WebLinkAbout14603 � � _ _1� CITY OF DIAMOND BAR - ��► 1 � �XP�R - - DEPARTMENT OF COMMUNITY Bc DEVELOP NT'SERVICES �D _ e . ` ai�E.c�i�ynriY�s�c�i90 0� Q3 PRESS , (909)860-3195 Faa(9D9)651-311? 'T 1pQQ ��^"Y BUII.DEI�iG PERMIT Ai'PLICATION FIRMLY Q AD RIESS ;;�� PPLICATION ' � PERMIT / �Jy P/C p DATE_ NUMBER f� � � � ISSUE TYPE OCC APN L T TRACT DATE CONST. GROUP g aWN R � '�.� ADD S ZONtNG SETBACKS � CITY �ZIP TEL REART RW ❑ APPLICANT 7EL. SIDE/SIDE STREET RW ❑ � CONTRACTOR ✓ ' SIDE ❑ � ADD S PROPOSED USE C �'21P 7EL. O p ARCWENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNlTS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUfLDER DECLARATION SFR/ADD/REM O 1 NEflEBY AFRRM UNDER PENALTY OF PcR&IRY hUi I AM EXEMPT FROM THE COMRACTORS LI- Gdf890R:9IpOtt W CBiSEIAWFORTNEFOLLOWINGilEA.50N(SEG703i6BUSMES55NDPROFESSIOIaSCWE:MIYCITYOH (J� COUHTYWliN�1REOUIRESAPEfBdITTO00NSTRUCT,KTER�PROVE,DEMOLISH,ORqEMIRlNY3TRUC.- W Petia/Deck TIN7E.PRIOR TO RS 133UANCE.hL50 REIXI WES TME APPI.�CANT FOR SUCH PERMI7 70 FlLE A SIGNEO W BTATEMENT 7{IAT HE Op SHE IS LICENSm PUflSUANT TO hIE PROVISIONS OF THE CONTRACTORS�I- - � CBISE lAW(GIAPTER Y(COMMENGM/G WITM SECTfON 7000)OF DIYt510N 30FTHE BUSME55 FNO PRO- V' P�USFlO FESSpNSCOOE�OfiTHATMEOHSHEISEXEMPTTXEREFROMMIOTHEBASI5FOH7HERLLEGEDE%EMG- .C7 TqN.ANYNOURIONOFSECTIOHf091.6BY�M'APPLIC�NTFORAPERMITSUBJECTSTHEAPP�ICAN7T0 � Re-Haof F l�CMLPBNLLTTOFNOTMORE7HRNFIYENUNORE�ODLUF�S(S5a01J: . . . . . � OI,ASONMEROFTHEPROPEPTY.ORMYEMPLOVEESWI7HWAGESASTHEIRSOLECAMPENSA7tt7N, O Commercial - - - N9LL DD TNE M�AIC M0 Tl1E STRUCTUAE IS NOT IMENp�O OR OfFEREO FOR SALE(SEC.7o�1a,BU51- _J N NESS ANO PRUFESSbNS OODE:THE COAf7R�CTORS�ICENSE LIW DOES NOT AP7LV TO AN[/WNER OF � . PROYERTV NRiO BU4D9 OR 11APROVES THEREON,ANO WHO OOES SUCH WORKHIMS�F Op HERSEI.F OR (Z iHqOUGHIpSORHERDWN9APLOYEES,GqOV�DEDTHAT5UCHINPpOVEMENTSAflcNOTINTkTlDEDOR -m � �'FEREDWHSALEIF,VIDWEVEFLTFIEBUILDINGORIMPROUEMENTISSOIDWITMINONEYEAPOFCOAAPIE- � iION,THE OWNEN-0UII�ER YYILL FIA�E THE BUR�EN pF MiOVINO FH�T HE OR SHE DIp NOT BUII�OR . . NIPPOVE FOR THE PIiRPOSE OF SM.E7. ' W ❑(ASONMEROF7HFPROPEfRY,NAEXCLUSNELVCONTRACtINGWITHUCENS€�CONI'RACTDqS � TO CON57AUGT TME PROJECf(SEC.7oN,BUSINE55 AND PROFESSIONS W�E:TME CONTRAG70R5 U- Vfl111811Of1 A�J AREA CENSE UW DOEB NOTAPPLY TO AN DYMER pF A PROVERTV WHO Bl1NDS OR 11APfi0VES 77+EREON,AND N71000NiqACT9PoR9Uq1PROJECTSWffHACONTRAC70R(5)LICENSEDPURSUANTTOTt-ECONTMG QUANTITY DESCRIPTION FEE � T(N15 tICENSE IAW.). - . ❑I AM EXEMPT UNDER SEC. B.6 V.C.FOA 7FeS HEASON J Q U LL Q . G�TE OWNER .0 F- W LICENSED CANTRACTORS DECLARATION -� � w 1 HEflEBYAFFIRAI UNDER PENALTY OF iERJUHY TNAT 1 AM LfCENSED UNDER PROVISIONS OF CNAPTER � � i(COMIAENCNI(3 WIiH SECiION 70a0)OF OMSqN 3 OF THE eU51NESS qN�RROFESSIONS CODE.AND Z - ��� W LICENSE 19 M FUl1 FO^RCE�EAFFECT, m � LICENSEC v ` T LIC.NO. �� � F— ,� V pATE - I _CONTRACTOR d �W � WORKERS'COMPENSATION DECLA TI � � IHENEBYAFFIRYUNDERPEWLTVOFPERRIRVONEOFTNEFOLLOWI �FG KKJ� Z - � _IHAVEANDWILL��NTAWACERTIFICATEOFCOMSENTTOS LF-MtSl1REFOPWORNEHS' ¢ 2 � CONCENSATqN,AS PfiON�ED BY6FCT�ON 370o Of THE LAB COOE,POR�FIE PE OFTHE WDAK WH WHICH lNIS PERMIT IS tSSUEO. W � � � _IHAVEANDWILLMAINTAMWORKERS'CONPENSATIONINSURANCE,ASHEOVIREDB"SFCT -' - - Q 97000FTME LABOR CODE,FOH TME PERFOHMANCE OF THE WORK FOR WHipi TMIS P�R IS ISSUED.MV 1MOqKEAS'C04PFNSATION INSURANCE CARRiFq ANO POLiCY Nl1AAEcq UCTION jc�anien � EVIEW_ � POLICYNUM6ER TRIC � (nassEc�ar�r�r+oTeEmhnEhr�oFn�rEa��ix�caoNeNuwaEo ls�m? LUMBING � z i CERTIFYTHAT INTHE PERFORMANCE OFTHE WDRK FOR WHlpi THiS PE MR IS IS�UED,1 �4ECHANICAL (�3 SHALL NOT EMPLOY ANY PEfl50N N ANY MRNNER SDAS TO BECOME SU -ECT TO THE �+�. �p VJORKERS'COMPENSATqN IAWS OF C1ILIFORNIA,AND AGREE iNAT lf l aUTA BECOIA �NSPECTION FEE F_��. �� S SUBIECTTOTHEYYORKERS'COMPENS�TIDNPRO 1� OFSECTION77`OF7MEUB �,(;;,� �� moE.t_��+nn�cAUPirvnn+nasE _ aisio_. ISSUANGE (J( J O p DATE: APPI.ICANT: - . SMIP � ENERGY P!C Las` WARNIN�:FAILURE TO SECUHE WDRKERS'COMPEN N COVERAGE I5 UNLAWFUL.AND SHALL 8E LL 9UBJECTAN EMPLOYER T�CRIMINAL PENALTIES AND CIVI�FMES UP TO ONE HUfIDRED THOU6AND ENERGY PERMIT OOl1Afl5(Sloo.aW),W AODITION TO THE COST OF CAMPENSATI014.DAMAGES AS PNOVIDED FOR IN � �' Y`✓u-1a�.ti-J<'✓ .'i.ii J 9ECTION370BOF7HEU80RCOOE,NTEREST,MIDATTORNEY'SFEES. R�ENTIONFEE: - . . ,. . � CONSTRUCTION LENDINGAGENCY PRE•AlT FEE: ' � V�}�-�� -'''��j� � IHEREBVAFFIq41UNDEHVENAITYOFPE0.RIRYTHATTHEREISACqJSTfit1CTIONtENO�N�AGENCY FOR THE PER W RMANCE�7FIE WORK FOR MMIf7i THiS PERMIT{5 ISSUEO(SEC.3007,CIV.G�. � Z W � �Et�ER'S NAME - - . 1— LENDER'SAO�RESS � ICERTIFYINATIXMrEREADTiI4MPliCAT10NAND5TATETNATTHEABOVEBJFORAUTIONISCORPECT. TOTAL FEES �- �I��—_�� � I MiREE TO OO�dPLV N7TH ALL CT'MID COl1NTY ORDINMlCES AND STATE LAwS NEUTIN9 TO B��LDING - � STFIUCTION.MIDHEPEBYAUTHORI qF.VRESENTA71VE50FTHI5GOUNTYTOEMENUPONiHE . . - -MENiIONED PROPERiV FOq R15 ION PURPOSES. ^ COMMENTS � tiJ 7^ � m RMITTEE (PRINf� / � .. Q � y SWNANREO _MITfEE �E - � RECPT.NO. PAIDBY - VALIDATION � WHITE--0epartmen[C�y.YELLOW--Flnance Copy,PINK—Assessor Copy,GOLDENRO�Ie Copy, REEN—ApplicanYa � , . , . . _ .�. , ..,.. � ., . ., . ... . , , ,. _... ....... , _<. ... _ ... . �.. .�. - ,-:,....,_ ._ , , . .. � . ,�t--���`l..t' � 1f�F DIAMOND BAR �'���� NSPECTION RECORD � ` ' ��� r;;� .. _ . � � a . � . . � � . . ` . SET BACK � ` �_`.`', `� ` ' ! : �'`• FEC�OR J01ST . : � , , , . FTGS/FORMS/STEEL � FHA REQMTS ' E�ECTRIC GRC7UND UNDER FLOOR DUCT GROUM1iD PIUMBING � UND�R FLOOR CU�iDUiT �� ' SIAB GRADE FIREPLACE FOt�NDATt�N • � '`• -• - TEMP POWER FIREP�AC��BOND BEAM � � WATER SERVICE MIQ HL BOND BEAM ``�- '` - -- - RO�F SHEATHING 8 Ff.B�3NQ BEAM`, � FRAMINGNENTILIATION FiNAL BOND BEAM ROOF COVER PRE-GRADING RQllGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBtNG FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATHISIDING PdOL FENCING WALL lNSULATIDN POOL FINAL CEILENG INSULATION OFF SITE lMPS. DRYWALL NAILING ' � DEDICA710NS SEWER � FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/l..L. ON SiTE IMPS. GAS AIR TEST FINAL ZONlNG FINAL CONST. ' FIRE DEPT. FINAL � � FfNRL HEATiNG f HEALTH DEPT. FINAL F(NAC ELECTRIC I DEV. FEES PAfD Flt� `i ."6.1�1SING �.�. • �+ � ENERGY _� � - � � . .1_ � - ; COMMENTS `"`' � ` ��.�+ -��, {``�-,� �r . � \_ i` - �. -.. , '•�� 1 .�-. � .J .. .`.�/-.,.. �,.,_ -__ - _ � �-� . 't SEPTIC TANK SIZE SEEP PIT(U SIZE ,i�, ��I �g - ,. _.A ` , ��. r.....5 - 1� .. .' .J .. _ ' ..�� � ' -. ' � �